Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid-County Urology Inc

Organization Urology Physician · NPI 1700832367

Mid-County Urology Inc is an Urology Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

621 S New Ballas Rd Ste 6011B
Saint Louis, MO 63141-8232
Phone: (314) 569-1750
Fax: (314) 569-3846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence R4A96 (MO)
Urology Physician Taxonomy 208800000X · Licence 103702 (MO)

Record details

NPI number1700832367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leonard Gaum — Owner President · (314) 569-1750
NPI enumeratedMay 25, 2006
Last updated in NPPESOctober 2, 2012
Mailing address621 S New Ballas Rd, Suite 6011b, Saint Louis, MO 63141-8232

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